Management of inpatient hyperglycemia : a systematic review

Management of inpatient hyperglycemia : a systematic review /

Hyperglycemia is a common finding in hospitalized patients and has been associated with worsened outcomes in a variety of inpatient subpopulations. The use of insulin to control blood glucose has been advocated as a way to improve health outcomes in hospitalized patients with hyperglycemia, but the...

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Bibliographic Details
Online Access: http://www.ncbi.nlm.nih.gov/books/NBK49230
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Corporate Authors: United States. Department of Veterans Affairs. Health Services Research and Development Service, United States. Veterans Health Administration. Office of Research & Development, Oregon Health & Science University. Evidence-based Practice Center
Other Authors: Kansagara, Devan, Wolf, Fawn, Freeman, Michele, MPH, Helfand, Mark
Format: Electronic eBook
Language:English
Published: [Washington, D.C.] : Department of Veterans Affairs, Health Services Research & Development Service, 2008
Series:Evidence-based synthesis program (Series)
Subjects:
Hyperglycemia > drug therapy.
Insulin > therapeutic use.
Blood Glucose > metabolism.
Inpatients.
Blood Glucose > drug effects.
Outcome Assessment, Health Care.
Myocardial Infarction > complications.
Perioperative Care.
Stroke > complications.
Surgical Procedures, Operative.
Humans, > check tag.
United States.
Systematic Review.
Technical Report.
Description
Summary:Hyperglycemia is a common finding in hospitalized patients and has been associated with worsened outcomes in a variety of inpatient subpopulations. The use of insulin to control blood glucose has been advocated as a way to improve health outcomes in hospitalized patients with hyperglycemia, but the evidence for the efficacy of this approach and the thresholds for initiating insulin management are unclear. Does strict blood glucose control compared to less strict blood glucose control improve final health outcomes in the following patients? 1) patients in the medical intensive care unit, 2) patients in the surgical intensive care unit, 3) acute myocardial infarction patients, )4 acute stroke patients, 5) post coronary artery bypass graft patients, 6) general surgical ward patients, 6) general medical ward patients. What are the harms of strict blood glucose control in the above subpopulations? What are the most effective and safest means of normalizing blood glucose in the above subpopulations?
Item Description:Title from PDF cover.
"October 2008."
"Prepared for: Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, Washington, DC 20420. Prepared by: Portland Veterans Affairs Healthcare System, Oregon Evidence-based Practice Center, Portland, OR."
Format:Mode of access: World Wide Web.
Bibliography:Includes bibliographical references.

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